At Innovista, we believe that primary care is uniquely positioned to drive transformational change in healthcare. Our independent physician partners achieve clinical and operational excellence in every spectrum of value-based care, resulting in better patient care and positive outcomes for their practices. Innovista Health is a full-service management services organization that offers solutions for practice transformation, including multi-payer program administration, quality, utilization, and care coordination services, and performance improvement insights and reporting.

Innovista Health Solutions is an Illinois-based service organization with management services operations in Illinois and Texas. At Innovista, we believe that positive forward movement in today’s uncertain healthcare market stems from the combination of innovative programs and dedicated people. Join the Innovista team and lead the charge to a better, more efficient healthcare system.

JOB SUMMARY:

The Provider Relations Representative (PR Rep) is responsible for managing the assigned Provider Network partnering with the Client for risk or non-risk programs. This includes: facilitating provider communication, program implementation and conflict resolution functions. The PR Rep serves as a liaison between contracted health plans, providers and ancillary providers to promote superior customer service and seamless programs.

DUTIES AND RESPONSIBILITIES:

• Provider Group management - overall management of assigned Provider Groups; fostering an environment of strong positive relationships and process innovation.
• Proactively identify Provider Group’s needs, resolving and communicating concerns or complaints regarding risk/non-risk programs to maintain Provider Group satisfaction.
• Strategic planning with risk/non-risk to drive enrollment numbers for specific products for unique Provider Groups.
• Responsible for coordinating and facilitating all meetings with Provider Group’s Office Managers and Care Team trainings.
• Coordinate with the Client and/or Account Manager/VP of Account Management to bring innovative processes, reporting, and communication integration for all Provider Groups.
• Identify opportunities for improved processes and Provider Group participation in established risk/non-risk programs.
• Assure that all Provider Group’s trainings, reporting, compliance and site visits are completed within established time frames.
• Manage ongoing processes, new integration processes, Provider Relations strategic planning, utilization reporting.
• Continuous mindset toward efficiency and process improvement – how to apply technology and processes to improve delivery and efficiency from both the Provider Group and internal perspective.
• Oversee the maintenance of the Provider Relations database that includes all participating physicians and ancillary providers for the assigned territory
• Complete all provider orientations and site visits within designated timeframes.
• Represent the organization well at all times; support its mission, goals and objectives; participate as a ‘team player”, constantly supporting other managers; set an example of high personal and professional conduct for employees and others.
• Perform all other duties assigned

• Bachelor degree or equivalent experience required.
• At least 3-4 years of relevant professional experience, including health care services/managed care/consulting, with a minimum of 2-3 years’ experience with delegated commercial models.
• Demonstrate excellent organizational skills.
• Demonstrate effective verbal and written communication skills.
• Demonstrate analytic skills when problem solving.

BENEFITS:

• Innovista is dedicated to hiring passionate individuals who embody our core values: integrity, determination, and teamwork. We recognize the importance of work-life integration and seek to provide our employees with competitive benefits, which include:
• Competitive benefits package including subsidized medical insurance with Flexible Spending Account (FSA), Health Savings Account (HSA) and Health Reimbursement Account (HRA) options as well as dental and vision coverage
• Company-paid benefits, such as short- and long-term disability, employee life, and Accidental Death and Dismemberment (AD&D)
• Annual discretionary bonus
• Generous paid time off that increases with tenure
• Paid company holidays (9 per year)
• Paid Parental Leave
• Employee Assistance Program available
• 401(k) with Company Match
• Potential to work remotely or hybrid
• Flexible work hours may be available
• Continuous education opportunities
• Dress for your day policy
• Discounted gym membership program through medical coverage
• Opportunity for career advancement and growth
• Generous employee referral bonuses
• Open-door policy with our CEO and upper management
• Please note: We do not post salary ranges. Salary ranges posted on other sites are not tied to our labor market specifications and are not relevant.